Plan-aware Member-aligned

Clinical intelligence
for smarter plans.

Rovi overlays on any plan to guide care decisions, drive better outcomes, and reduce total cost of care.

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Maria PT 6 weeks no improvement → surgery likely
Maya, RN

Rovi clinical intelligence layer A flowing organic three-dimensional wireframe representing the Rovi clinical intelligence layer.
The Rovi system

Three layers, one clinical loop.

Rovi works in three connected stages: analyzing clinical signals, navigating members to high-value care, and delivering care virtually wherever possible. One connected system.

01 — Signals

We use data to catch care events early.

Licensed nurses review clinical data and plan information to spot upcoming care. Rovi intelligence surfaces the events that matter, so our nurses and members know when to act.

What our nurses review

  • Medical records Longitudinal charts
  • ADT feeds Hospital events
  • Labs Diagnostic results
  • Claims Billed care
  • Pharmacy Prescription fills
  • Prior auth Approval status
  • Network Provider directory
02 — Navigation

We help members choose high-value care.

Every member has their own licensed nurse who finds the best possible care. That means high-quality, fairly priced, and convenient.

What we optimize

  • Quality

    Quality data on 1M+ providers across clinical outcomes, experience, and appropriateness.

  • Convenience

    We handle appt bookings, network checks, follow-ups, and more.

  • Cost

    HRA incentives keep high-value care free for members.

03 — Care

We deliver care directly where appropriate.

Rovi includes an integrated virtual clinic that treats members over voice, text, and video.

What we deliver

  • Async Care

    Clinicians answer questions, refill prescriptions, and treat common conditions over text, on the member’s schedule.

  • Sync Care

    Clinicians see members through live video calls within minutes for primary care and urgent care.

  • Mental Health

    Therapists and prescribers support members through therapy and ongoing care.

Rovi virtual care available for select clients.

Rovi aligns plans with their members. Meet Maria.

She's 41, married to Daniel, with two kids.

Maria and Daniel preparing dinner with their two kids at the kitchen table.

  1. Maria joined. First exchange with her nurse — a refill question, handled in 4 messages.

    For the plan Engaged from day one. For Maria A real human nurse, on her phone.

  2. A wrong-direction referral, caught.

    Maria reading her phone in a quiet domestic moment, soft window light.
    Maya, RN

    Hi Maria — your PCP referred you to a specialist for the shoulder, but he's bottom-quartile on outcomes. Dr. Chen is top-decile and closer to home. Want me to switch?

    For the plan ~$1,800 saved. Better outcomes, fewer escalations.

    For Maria Top-decile specialist. $0 to Maria, zero hassle.

  3. Pharmacy refill flagged: generic alternative available. Switched with prescriber.

    For the plan ~$850/yr saved. For Maria Lower copay, no prescriber call.

  4. Daniel's knee surgery, steered.

    Daniel sitting on an exam table, hand resting on his knee.
    Maya, RN

    Hi Daniel — Dr. M's meniscus referral came through. I found a top-decile surgeon at the surgery center across town. He's done thousands of these procedures with great outcomes. Want me to schedule an appointment?

    For the plan ~$23,500 saved. Faster return to work, better recovery.

    For Daniel Top-decile surgeon. $0 out-of-pocket, $0 post-op PT through their MSK benefit.

  5. A late-night fever, handled at home.

    A sleeping child, parent silhouetted in the bedroom doorway.
    Maria

    Hi — Lucas has a 103° fever. Should I take him to the ER?

    Maya, RN

    Let's try video first. Our NP, Lisa, can see him in 20 minutes — sending the link now.

    For the plan ~$1,300 ER trip avoided. No missed work the next day.

    For Maria $0 to Maria. Handled at home in 20 minutes.

  6. Anxiety mentioned to her nurse. Routed to the plan's mental-health point solution — already covered. First session that week.

    For the plan Underused benefit, activated. For Maria Therapist that same week, $0 to Maria.

  7. An RA diagnosis, infusion routed right.

    Maria in a calm, modern infusion chair, reading a book.
    Maya, RN

    Hi Maria — I saw your prior auth for Remicade. Want me to schedule your appointments at Springfield Infusion Center? It'll be $0 out-of-pocket, has high quality scores, and is right next to your house.

    For the plan ~$27,000/yr saved. Faster start, better adherence.

    For Maria $0 out-of-pocket. Top-quality care, started 3 weeks earlier.

  8. A year in.

    Maria reading with her daughter on the couch, late-afternoon light.
    Maya, RN

    Hi Maria — quick note as the year wraps up. I know it was a lot — Daniel's surgery, Lucas's late-night fever, your RA diagnosis. You handled all of it, and I'm glad I got to be on the line through it. Take some real time over the holidays. Talk in January.

    For the plan ~$54,800 saved. Productive year, fewer ED visits, healthier member.

    For Maria ~$2,400 back in pocket. Felt looked-after, every step.

    Same plan, with Rovi inside it.

Built for your plan. Loved by your members.

  • 52% Savings on
    redirected care
  • 30%+ Member
    engagement
  • 1M Providers with
    outcome-based quality data

I Compatibility

Works with any existing plan.

Self-funded, fully-insured, or level-funded.

II Activation

Activate your plan design.

Drive engagement across every benefit and point solution you've already invested in.

III Guarantee

Guaranteed savings.

If we don't deliver the savings, you don't pay. Skin in the game on every dollar.

See how Rovi can supercharge your plan.

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